NPIMap

Organization Active NPI

Acosta Medical Group LLC

  • General Practice Physician
  • Yabucoa, PR
National Provider Identifier
1396389862
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ACOSTA MEDICAL GROUP LLC
Doing business as
DR. RAUL A. ACOSTA LUCCA
Practice address
Suite 1 Calle Marginal
Urb Mendez #6
Yabucoa, PR 00767
Phone
(787) 266-0242
Fax
(787) 893-5548
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raul Acosta
Title
President
Phone
(787) 914-6875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Suite 1 Calle Marginal
Urb Mendez #6
Yabucoa, PR 00767

Mailing address

PO Box 2110
Yabucoa, PR 00767-2110
Phone (787) 266-0242

Other names 1

  • DR. RAUL A. ACOSTA LUCCA Doing business as

National Provider Directory

National Provider Directory

Locations

1 Calle Marginal
#6
Yabucoa, PR 00767
Phone (787) 266-0242

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1396389862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2110",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007672110",
            "telephone_number": "787-266-0242",
            "fax_number": "787-893-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 1 CALLE MARGINAL",
            "address_2": "URB MENDEZ #6",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-266-0242",
            "fax_number": "787-893-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACOSTA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-914-6875"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. RAUL A. ACOSTA LUCCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.